Individual
KRIN M WALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 DIVISION ST FL 2, OREGON CITY, OR 97045-1527
(503) 574-9235
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO186856
OR
Other
Enumeration date
10/07/2014
Last updated
10/01/2024
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